Synthesising 30 years of clinical experience and scientific insight on affective temperaments in psychiatric disorders: State of the art. in Journal of affective disorders / J Affect Disord. 2024 Oct 1;362:406-415. doi: 10.1016/j.jad.2024.07.011. Epub 2024 Jul 5.

2024
ASL Novara
ASL Cuneo 2
ASL Biella

Tipo pubblicazione

Review

Autori/Collaboratori (14)Vedi tutti...

Favaretto E
Department of Addiction, South Tyrol Health Care, Bressanone, Italy. Electronic address: ettore.favaretto@sabes.it.
Bedani F
Mercy University Hospital, Cork, IRELAND.
Brancati GE
University of Pisa, ITALY.

et alii...

Abstract

The concept of affective temperament has been extensively discussed throughout the history of psychopathology and represents a cornerstone in the study of mood disorders. This review aims to trace the evolution of the concept of affective temperaments (ATs) from Kraepelin's seminal work to the present day. In the 1980s, Akiskal redefined Kraepelin's concept of affective temperaments (ATs) by integrating the five recognized ATs into the broader framework of the soft bipolar spectrum. This conceptualization viewed ATs as non-pathological predispositions underlying psychiatric disorders, particularly mood disorders. Epidemiological and clinical studies have validated the existence of the five ATs. Furthermore, evidence suggests that ATs may serve as precursors to various psychiatric disorders and influence clinical dimensions such as disease course, psychopathology, and treatment adherence. Additionally, ATs appear to play a significant role in moderating phenomena such as suicide risk and stress coping. Incorporating an evaluation of temperamental bases of disorders into the multidimensional psychiatric diagnostic process could enhance treatment optimization and prognosis estimation.

Accesso banca dati bibliografica

PMID : 38972642

DOI : 10.1016/j.jad.2024.07.011

Keywords

Humans; Temperament; Mood Disorders/psychology; Mental Disorders/psychology; Affect; Bipolar Disorder/psychology; Affective disorders; Bipolar disorder; Bipolar spectrum; Depression; Suicide; Temperaments;